DR. BUTOOL SABA ABDULLAH MD
NPI 1285130708
Family Medicine in Fontana, CA

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
16854 IVY AVE, FONTANA, CA 92335(909) 791-1000(909) 781-6000 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2022, Jun 25, 2018, Apr 24, 2018 (3 updates tracked since 2018).

About Dr. Butool Saba Abdullah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BUTOOL SABA ABDULLAH MD (NPI 1285130708) is an individual family medicine provider in Fontana, California, licensed in Iowa (R-11368) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285130708
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BUTOOL SABA ABDULLAHCredential: MD
Location Address16854 IVY AVEFontana, CA 92335-1504
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-2682 · Fax (515) 643-5802
Fax(909) 781-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2018
Last NPPES UpdateOctober 17, 20223 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
NPI 1285130708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · R-11368
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

16854 IVY AVE, Fontana, CA 92335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Butool Saba Abdullah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567718562
PECOS Enrollment IDI20221031002105
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services19 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
24 services13 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
16854 IVY AVE, SUITE C
FONTANA, CA 92335
Family Medicine
16854 IVY AVE
FONTANA, CA 92335
Pharmacy (Community/Retail Pharmacy)
16854 IVY AVE, SUITE C
FONTANA, CA 92335
Family Medicine
16854 IVY AVE
FONTANA, CA 92335
Family Medicine
16854 IVY AVE
FONTANA, CA 92335
Family Medicine
16854 IVY AVE
FONTANA, CA 92335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285130708, enumerated as an "individual" on April 03, 2018.

The provider is located at 16854 IVY AVE FONTANA, CA 92335 and the phone number is (909) 791-1000.

Family Medicine with taxonomy code 207Q00000X.